HomeMy WebLinkAbout4400 COFFEE_HMBP 11-02-22I '� A -
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BAKERSFIELD FIRE DEPT.
UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services
2101 H Street
Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan Tee.: (661) 326-3979
Inspection � Fax: (661) 852-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
V5 75
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
ONSENT TO INSPECT NAME/TITLE
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Section 1: Business Pla a -id Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT
C V C=Compliance OPERATION C E R S
V=Violation: 1 11 Minor Violation COMMENT
ACTIVE HAZARDOUS MATERIAL PER (BMC: 15.65.080)
#
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
... Z
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
VERIFICATION OF QUANTITIES (CCR: 2729.4)
VERIFICATION OF LOCATION (CCR: 2729.2)
1010004
1010006
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
1020002
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
r
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
5
3030032
f .�
1010005
nature of Receipt
Explain: ,
❑ RE -INSPECTION
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POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this page to: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
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White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 6/2021) .,
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